A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

Double the dose if a dose is missed.

Reduce caffeine and acidic intake.

Avoid taking on an empty stomach.

Consume 2. liters of water daily.

Answer and Explanation

The Correct Answer is A

A. Double the dose if a dose is missed:
This instruction is incorrect. Clients should not double their dose of allopurinol if they miss a dose. Instead, they should take the missed dose as soon as they remember, unless it is almost time for the next dose. Doubling the dose can lead to overdose and potential side effects.

B. Reduce caffeine and acidic intake:
Reducing caffeine and acidic foods can help manage gout and lower uric acid levels, making this advice appropriate.

C. Avoid taking on an empty stomach:
While allopurinol can be taken with or without food, some clients might find it less irritating if taken with food. This guidance is intended to reduce gastrointestinal discomfort.

D. Consume 2 liters of water daily:
Drinking adequate fluids helps prevent kidney stones and promotes overall kidney health, which is especially important when taking allopurinol. This advice supports effective medication use and overall health.

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Correct Answer is C

Explanation

A. Hemoglobin level of 13.5 g/dL (135 g/L):
Sodium polystyrene sulfonate is used to manage hyperkalemia, not to affect hemoglobin levels. While a hemoglobin level of 13.5 g/dL is within the normal range, it does not indicate the effectiveness of sodium polystyrene sulfonate.

B. Serum ammonia level of 30 μg/dL (17.62 μmol/dL):
Sodium polystyrene sulfonate is not used to manage ammonia levels; it is used to lower elevated potassium levels. Thus, a serum ammonia level of 30 μg/dL does not reflect the effectiveness of the medication.

C. Serum potassium level of 3.8 mEq/L (3.8 mmol/L):
Sodium polystyrene sulfonate is specifically used to treat hyperkalemia (high potassium levels). A serum potassium level of 3.8 mEq/L is within the normal range, indicating that the medication has effectively reduced elevated potassium levels.

D. Serum glucose level of 120 mg/dL (6.7 mmol/L):
Sodium polystyrene sulfonate does not affect glucose levels. A glucose level of 120 mg/dL is slightly elevated but unrelated to the effectiveness of the potassium-lowering medication.

A. Food diary shows increased consumption of iron-rich foods. B. Reports of increased energy levels and decreased fatigue. C. Takes concurrent iron therapy without adverse effects. D. Hemoglobin level increased to 12 g/dL (7.45 mmol/L).

Correct Answer is D

Explanation

A. Food diary shows increased consumption of iron-rich foods:

While iron-rich foods are important for managing anemia, this finding does not directly indicate the effectiveness of epoetin alfa. The primary measure of epoetin alfa's effectiveness is an improvement in hemoglobin levels, not dietary changes.

B. Reports of increased energy levels and decreased fatigue:

Increased energy and decreased fatigue are positive effects and may suggest that the medication is helping. However, these symptoms are subjective and not as definitive as a measurable increase in hemoglobin levels.

C. Takes concurrent iron therapy without adverse effects:

Iron therapy is often used alongside epoetin alfa to enhance its effectiveness, but the absence of adverse effects from iron therapy does not alone confirm the effectiveness of epoetin alfa. The key indicator is the improvement in hemoglobin levels.

D. Hemoglobin level increased to 12 g/dL (7.45 mmol/L):

An increase in hemoglobin level to 12 g/dL is a direct measure of the effectiveness of epoetin alfa. This increase demonstrates that the medication is successfully stimulating red blood cell production, which is the intended therapeutic effect.

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A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Reference Range: Hemoglobin (Hgb) [14 to 18 g/dl. (8.7 to 11.2 mmol/L)]

Correct Answer is D

Explanation

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